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Home My WebLink AboutWA Charter Amendment ApplicationCharter Amendment Request Form -MAXIMUM ENROLLMENT INCREASE Texas Education Agency -Division of Charter School Administration -Phone (512) 463-9575 -Fax (512) 463-9732 Westlake Academy 220-810 Name of Charter School County-District Number Requested effective date: Jul y 1 This should be July 1 unless specific circumstances warrant the request of a different date. Current maximum enrollment _8_0_0 ____ Requested maximum enrollment 1,450 If the amendment is approved, what sites will be impacted by the increase in enrollment? _______________ Our single campus located in Westlake, Texas. If the amendment is approved, what is the minimum number of instructional hours per day to be provided students at the sites impacted by the increase in enrollment? 7 hours Maximum Enrollment Expansion Amendment Request Checklist The following must be submitted in the order listed below with an expansion amendment request for an increase in maximum enrollment: _x__l. Charter Amendment Request Form -MAXIMUM ENROLLMENT INCREASE (If multiple amendment requests are being made, include all request forms together.) _x__2. Charter holder board resolution -A written resolution adopted by the governing body of the charter holder and signed by the members voting in favor of amending the charter must be submitted. A quorum of the members must have voted in favor of amending the charter. Include printed names as well as signatures of the board members. The names should match information on the most recent Annual Governance Reporting Forms submitted to TEA. Otherwise, documentation explaining any differences must be included. The board resolution for a maximum enrollment increase must include a special board resolution that includes a statement that the board has considered a business plan containing the following elements: • a statement discussing the need for an increase in the maximum enrollment; • a statement discussing the current and projected financial condition of the charter holder and/or the charter school; • an unaudited statement of financial position for the current fiscal year; • an unaudited statement of activities for the current fiscal year; • an unaudited statement of cash fiows for the current fiscal year; • a pro forma budget that includes the costs of operating the charter school, including the im plementation of the expansion amendment; • a statement or schedule that identifies the assumptions used to calculate the charter school's estimated Foundation School Program revenues; • a statement discussing the use of debt instruments to finance part or all of the charter school's incremental costs; • a statement discussing the incremental cost of acquiring additional faCilities, furniture, and equipment to accommodate the anticipated increase in student enrollment; and • a statement discussing the incremental cost of additional on site personnel and identifying the additional number of full-time equivalents that will be employed. The business plan must be submitted to TEA within five business days if requested. (If multiple amendment requests are being made, include all board resolutions together.) _X__3. A list, in alphabetical order, of the school districts in the approved geographic boundary that may be impacted should the commissioner approve the amendment request _X__4. Evidence, in alphabetical order by district, that impact statements have been sent to each school district that may be affected by the expansion. _X__5. Compliance information as required 19 Texas Administrative Code §100.1035 to include the following: • Documentation that indentifies a board member's substantial interest in a business entity or in real property that relates to any charter business; • Documentation board members' abstentions from voting in cases of potential confiicts of interest; • Documents, other than Annual Governance Reporting Forms, identifying family members within the third degree of consanguinity or affinity who serve as board members and/or employees and/or contractors of the charter holder or charter school; and • Documentation that board members or employees whose criminal history checks revealed them ineligible to serve were removed from service as is required by Texas Education Code §12.12.0; OR • A signed statement attesting that within the last three years there have been no instances of nepotism, conflicts of interest, or revelations in criminal history checks that deemed any board member or employee ineligible to serve. As the CEO/superintendent of the charter school, I understand that an expansion amendment is not a right or entitlement and that in determining if a change in the contract for charter is appropriate, the commissioner of education will review and consider specific issues including, but not limited to, charter performance data (e.g., accountability ratings, FIRST ratings, accreditation statuses, and underlying data) and compliance. I also understand that prior to approving an expansion amendment request, staff in the following divisions and program areas will be consulted to determine if any potential problems or concerns exist with the charter holder or charter school: Performance Reporting, Charter School Administration, Child Nutrition, Financial Audits, Grants Administration, legal Services, PEIMS Data Reporting, Program Monitoring and Interventions, NClB and IDEA Programs, Student Assessment, Governance and Waivers, General Inquiries, and Complaints. I further understand that incomplete submissions will not be processed and that there will be a delay in processing submissions that are not submitted 817-490-5720 tbrymer@westlake-tx.org Phone Number Email Address Thomas E. Brymer 01-23-2012 Printed Name of Charter School CEO/Superintendent Date School Districts in the Approved Geographic Boundaries Westlake Academy Charter School ISD Superintendant Address City State Zip Code Main Telephone Number USPS Delivery Confirmation Receipt #'s Argyle ISD Dr. Telena Wright 800 Eagle Drive Argyle Texas 76226 (940) 464-7241 03110820000164375067 Arlington ISD Jerry McCullough 1203 W. Pioneer Pkwy Arlington Texas 76013 (682) 867-4611 03110820000164375074 Azle ISD Dr. Ray Lea 300 Roe St Azle Texas 76020 (817) 444-3235 03110820000164375098 Birdville ISD Darrell G. Brown, Ph.D. 6125 East Belknap Street Haltom City Texas 76117 (817) 547-5700 03110820000164375104 Carrollton-Farmers Branch ISD Dr. Bobby C. Burns 1445 N. Perry Rd.Carrollton Texas 75006 (972) 968-6100 03110820000164375111 Coppell ISD Dr. Jeff Turner 200 S. Denton Tap Coppell Texas 75019 (214) 496-6000 03110820000164375128 Decatur ISD Robert Townsend 501 East Collins Decatur Texas 76234 (940) 393-7100 03110820000164375135 Denton ISD Dr. Ray Braswell 1307 N. Locust Denton Texas 76201 (940) 369-0000 03110820000164375142 Duncanville ISD Dr. Alfred L. Ray 802 South Main Street Duncanville Texas 75137 (972) 708-2000 03110820000164375159 Eagle Mountain-Saginaw ISD Jim Chadwell Ed.D. 1200 Old Decatur Road Fort Worth Texas 76179 (817) 232-0880 03110820000164375166 Fort Worth ISD Walter Dansby 100 N University Dr.Forth Worth Texas 76107 (817) 871-2000 03110820000164375173 Frisco ISD Rick Reedy 5515 Ohio Dr.Frisco Texas 75035 (469) 633-6000 03110820000164375180 Garland ISD Curtis Culwell, Ed.D. 501 S. Jupiter Garland Texas 75042 (972) 494-8201 03110820000164375197 Grand Prairie ISD Dr. Susan Simpson 2602 South Belt Line Road Grand Prarie Texas 75052 (972) 264-6141 03110820000164375203 Grapevine-Colleyville ISD Dr. Robin Ryan 3051 Ira E. Woods Avenue Grapevine Texas 76051 (817) 488-9588 03110820000164375210 Highland Park ISD Dr. Dawson Orr 7015 Westchester Drive Dallas Texas 75205 (214) 780-3002 03110820000164375227 H-E-B ISD Dr. Gene Buinger 1849 Central Dr. Bedford Texas 76022 (817) 283-4461 03110820000164375234 Irving ISD Dana Bedden, Ed.D.2621 West Airport Freeway Irving Texas 75062 (972) 600-5001 03110820000164375241 Keller ISD James Veitenheimer 350 Keller Parkway Keller Texas 76248 (817) 744-1000 03110820000164375258 Krum ISD Mike Davis 1200 Bobcat Blvd. Krum Texas 76249 (940) 482-6000 03110820000164375265 Lake Dallas ISD Gayle Stinson P.O. Box 548 Lake Dallas Texas 75065 (940) 497-4039 03110820000164375272 Lewisville ISD Dr. Stephen F. Waddell 1800 Timber Creek Road Flower Mound Texas 75028 (469) 713-5200 03110820000164375289 Little Elm ISD Lynne Leuthard PO Box 6000 Little Elm Texas 75068 (972) 292-1847 03110820000164375296 McKinney ISD Dr. J.D. Kennedy One Duvall Street McKinney Texas 75069 (469) 742-4000 03110820000164375302 Northwest ISD Karen G. Rue 2001 Texan Dr.Justin Texas 76247 (817) 215-0000 03110820000164375319 Paradise ISD Monty Chapman 338 School House Road Paradise Texas 76073 (940) 969-2501 03110820000164375326 Ponder ISD Bruce Yeager 400 West Bailey Street Ponder Texas 76259 (940) 479-8200 031108200001643753333 Southlake-Carroll ISD David Faltys 3051 Dove Road Grapevine Texas 76051 (817) 949-8222 03110820000164375340 Springtown ISD Mike Kelley 301 East 5th Street Springtown Texas 76082 (817) 220-7243 03110820000164375357 Weatherford ISD Dr. Jeffrey Hanks 1100 Longhorn Drive Weatherford Texas 76086 (817) 598-2808 03110820000164375364